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정훈 ( Hun Jeong ),이용구 ( Yong Gu Lee ),김효영 ( Hyo Young Kim ),김상훈 ( Sang Hoon Kim ),손명수 ( Myung Su Son ),조양현 ( Yang Hyun Cho ),김형종 ( Hyung Jong Kim ),양동호 ( Dong Ho Yang ),이용희 ( Yong Hee Lee ),홍순원 ( Sun W 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.1
The association between malignancy and glomerular disease has been reported in older patients. Although the relationship between membranous glomerulonephritis or minimal change disease and solid tumors or hematologic malignancies, respectively, are known widely, focal segmental glomerulosclerosis have been described rarely in patients with solid tumors. We describe a patient with renal cell carcinoma who presented to nephrotic syndrome, volume overload and renal failure. On renal biopsy at contra-lateral kidney of renal cell carcinoma, the patient was diagnosed at focal segmental glomerulosclerosis. The proteinuria and renal function were ameliorated after resection renal cell carcinoma. We suggest that the focal segmental glomerulosclerosis is associated with renal cell carcinoma. This is the first case of the clinical cause of focal segmental glomerulosclerosis associated with renal cell carcinoma of papillary type.
장세정제 복용 후 발생한 횡문근융해증, 발작과 비심인성 폐부종의 합병증을 동반한 저나트륨혈증
손명수 ( Myung Su Son ),김효영 ( Heo Young Kim ),김용훈 ( Yong Hun Kim ),김원희 ( Won Hee Kim ),이소영 ( So Young Lee ),홍기연 ( Gi Youn Hong ),정훈 ( Hoon Jeong ),이용구 ( Yong Gu Lee ),양동호 ( Dong Ho Yang ),김형종 ( Hyung Jon 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.2
Oral sodium phosphate is commonly used to evacuate the colon and rectum before colonoscopy or colorectal surgery. However, this substance is known to cause electrolyte abnormalities including hyponatremia. The hyponatremic patient usually presents with headache, nausea, vomiting and confusion, but can also present with non-cardiogenic pulmonary edema, seizure and rhabdomyolysis. However, non-cardiogenic pulmonary edema, seizure and rhabdomyolysis caused by hyponatremia associated with bowel preparation have only rarely been reported. We report a case of severe complications including non-cardiogenic pulmonary edema, seizure and rhabdomyolysis associated with hyponatremia following ingestion of sodium phosphate for colonoscopy in a 41-year-old healthy male.